Organization
SIMPLY DIVINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL JAMES LCAC (CEO)
(317) 263-1675
Entity
Organization
Contact information
Practice address
141 N SHORTRIDGE RD, INDIANAPOLIS, IN 46219-8906
(317) 263-1675
Mailing address
141 N SHORTRIDGE RD, INDIANAPOLIS, IN 46219-8906
(317) 263-1675
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
8700133A
IN
Other
Enumeration date
05/16/2016
Last updated
07/15/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us